Information Collection

Inital Meeting (Fit Actigraph)

IC 236665 under ICR 202008-0920-009 · OMB 0920-1278.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1278 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Appendix E_Informed Consent.docx	Instruction
Appendix F_Recruitment Email.docx	Instruction
0920- Sleep Diary Activity Appendix C1-7_Survey and Diary_(WORD).docx	Form and Instruction

IC Title:

Inital Meeting (Fit Actigraph)

Agency IC Tracking Number:

0920-17BBV

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix E_Informed Consent.docx	Yes	No	Fillable Fileable Signable
Instruction			Appendix F_Recruitment Email.docx	No		Paper Only
Form and Instruction	0920-	Sleep Diary Activity	Appendix C1-7_Survey and Diary_(WORD).docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 60

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.